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Tennessee rates for HCPCS 75563

Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$224.19 / $716.48 / $756.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $671.39 / $801.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.14 / $652.14 / $652.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.15 / $781.48 / $1,217.51
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$144.16 / $144.16 / $159.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.95 / $794.47 / $1,371.53
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,279.35 / $1,279.35 / $1,307.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,924.22 / $5,006.57 / $5,006.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.83 / $741.80 / $1,169.57